Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.65 / $3,020.00 / $9,661.00	Facility		$1,197.65	$3,020.00	$9,661.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $4,975.00 / $11,448.00	Facility		$3,283.00	$4,975.00	$11,448.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,422.43 / $1,422.43 / $37,499.62	Facility		$1,422.43	$1,422.43	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.16 / $1,147.16 / $7,227.90	Facility		$1,147.16	$1,147.16	$7,227.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.52 / $112.52 / $112.52	Facility	AS	$112.52	$112.52	$112.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,453.00 / $2,652.08	Facility		$332.00	$1,453.00	$2,652.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $934.38 / $934.38 / $934.38	Facility		$934.38	$934.38	$934.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,147.16 / $7,227.90	Facility		$597.00	$1,147.16	$7,227.90
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $112.52 / $112.52 / $112.52	Facility	AS	$112.52	$112.52	$112.52
United Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $4,194.00 / $9,020.04	Facility		$996.00	$4,194.00	$9,020.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,196.98 / $1,196.98 / $3,604.04	Facility		$1,196.98	$1,196.98	$3,604.04